Provider Demographics
NPI:1497865141
Name:HASNI, SYED KAMRAN (MD)
Entity Type:Individual
Prefix:
First Name:SYED
Middle Name:KAMRAN
Last Name:HASNI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 HOSPITAL DR
Mailing Address - Street 2:STE 5
Mailing Address - City:BARBOURVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40906
Mailing Address - Country:US
Mailing Address - Phone:606-545-6491
Mailing Address - Fax:606-545-0342
Practice Address - Street 1:315 HOSPITAL DR
Practice Address - Street 2:STE 5
Practice Address - City:BARBOURVILLE
Practice Address - State:KY
Practice Address - Zip Code:40906
Practice Address - Country:US
Practice Address - Phone:606-545-6491
Practice Address - Fax:606-545-0342
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY38625207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY65943276Medicaid
KYP00196303OtherRAILROAD MEDICARE
KY65943276Medicaid
9313Medicare ID - Type Unspecified